JAEYEON KIM PHARM.D.
NPI 1093340358
Pharmacist in Largo, MD

Active since March 06, 2020
1221 MERCANTILE LN, LARGO, MD 20774(301) 618-5500 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2023, Jun 22, 2021, May 15, 2020 and 1 more (4 updates tracked since 2020).

About Jaeyeon Kim Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAEYEON KIM PHARM.D. (NPI 1093340358) is an individual pharmacist in Largo, Maryland, licensed in Maryland (26157) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1093340358
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJAEYEON KIMCredential: PHARM.D.
Location Address1221 MERCANTILE LNLargo, MD 20774-5374
Mailing Address1221 Mercantile LnLargo, MD 20774-5374 · (301) 618-5500
Sole ProprietorNo
Enumeration DateMarch 6, 2020
Last NPPES UpdateMay 31, 20234 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
NPI 1093340358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MD · 26157
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1221 MERCANTILE LN, Largo, MD 20774

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1221 MERCANTILE LN
LARGO, MD 20774
Anesthesiology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774
Internal Medicine
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER
LARGO, MD 20774
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1221 MERCANTILE LN, DEPT OF OBGYN
LARGO, MD 20774
Anesthesiology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774
Physician Assistant
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER
LARGO, MD 20774
Urology
1221 MERCANTILE LN, KAISER PERMANENTE DEPARTMENT OF UROLOGY
LARGO, MD 20774
Obstetrics & Gynecology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaeyeon Kim's NPI number?

The NPI number for Jaeyeon Kim is 1093340358. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Where is Jaeyeon Kim located?

Jaeyeon Kim practices at 1221 Mercantile Ln, Largo, MD 20774. The listed phone number is (301) 618-5500.

What is Jaeyeon Kim's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jaeyeon Kim was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.